131 results for “emergency sedation”
24y · Male·Hypoxic brain injury secondary to hanging
…essed as very high risk. On 5 January, after becoming acutely aggressive and hostile, he was managed with sedation but not escalated to senior psychiatric review despite guideline recommendations. Critical gaps emerged: …
60y · Male·Multiple injuries sustained after jumping from 15th storey home unit
William MacKenzie, a 60-year-old with a five-year history of bipolar affective disorder and recent involuntary hospitalization, presented to St. Vincent's Hospital on 9 June 2008 with suicidal ideation after being found …
Unknown·asphyxiation in a child with drug effect
Two young children, aged 5 and 3, died following filicide by their father during a parental separation. The father purchased sedative medication (Restavit) on the afternoon of the deaths and administered it to the childr…
52y · Male·HIV infection complicated by basal and squamous cell carcinoma of the head and n…
Bruce Jason Garrett, a 52-year-old prisoner detained under the Dangerous Sexual Offenders Act, died at Royal Perth Hospital on 2 October 2010 from HIV infection complicated by basal and squamous cell carcinoma of the hea…
29y · Male·acute bronchopneumonia complicated by multi-drug toxicity
Nicholas Ang, aged 29, with schizoaffective disorder, died from acute bronchopneumonia complicated by multi-drug toxicity while in a psychiatric unit. Admitted 12 August 2005, he was on clozapine, valproic acid, and clon…
53y · Female·Combined drug toxicity (propranolol and insulin)
A 53-year-old registered nurse with longstanding depression, anxiety and benzodiazepine dependency died from combined drug toxicity (propranolol and insulin) in what was determined to be an intentional overdose. Ms Webst…
31y · Male·undetermined
…tion; (3) escalation should have occurred when respiratory rate entered the 'Red Zone' requiring medical emergency. The coroner found no suspicious circumstances and appropriate medications were used. Forensicare subseq…
44y · Male·Cardiac arrhythmia during physical restraint
Taare Rangi, a 44-year-old man with bipolar affective disorder, died from cardiac arrhythmia during physical restraint in a mental health unit. Critical failures occurred at multiple levels: (1) the decision to acutely s…
18y · Male·Incised wound to right axilla with complete transection of basilic vein, brachia…
Thomas Redman, aged 18, sustained a catastrophic laceration to his right axilla involving complete transection of major arteries and veins after putting his arm through a glass window at a rural property near Gloucester,…
39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…
…(1) support workers should escalate concerns when residents present with altered consciousness or unusual sedation, particularly before administering psychotropic medications; (2) staff managing residents with both menta…
66y · Female·Blood loss due to tearing of the spleen and fractured ribs occasioned by a motor…
Nola Walker, a 66-year-old retired nurse, died from splenic rupture and haemorrhage caused by blunt force trauma from a motor vehicle accident. She was involved in a minor crash, assessed by paramedics who found normal v…
17y · Male·bacterial meningitis
A 17-year-old Aboriginal student died from bacterial meningitis after three clinic presentations in Yuendumu over four days. The critical failure occurred on 1 April when fever (38.3°C), persistent headache, and positive…
67y · Male·Complications of pressure ulcers in the setting of a thoracic vertebral fracture…
…lie flat due to severe scoliosis and ankylosing spondylitis, he was positioned flat on the CT table using sedation and opioids. He reported hearing a crack and subsequently developed complete bilateral lower limb paralys…
55y · Female·Multiple drug toxicity in a woman with coronary artery atherosclerosis
…r overdoses. Expert evidence confirmed the patient would almost certainly have survived with appropriate emergency management including naloxone administration. The case highlights dangers of blurred professional bounda…
87y · Female·Hypoxic-ischaemic encephalopathy secondary to cardiac arrest, with valvular hear…
…ights critical failures in post-procedure monitoring, recognition of medical emergencies, and inadequate emergency equipment and staffing at a private radiology practice.
62y · Female·Multiple injuries sustained from jumping from rocks at Torndirrup National Park …
Pamela Stone, a 62-year-old woman with a complex history of trauma, depression and relationship difficulties, presented to Albany Regional Hospital ED on 26 March 2009 after a violent altercation at home, having been sed…
9y · Male·Head injury (epidural haematoma with cerebral coning following craniotomy)
…gnosed concussion. The following morning, Dr W. arranged a CT scan, but it could not be completed without sedation. Dr A. delayed the scan until 13 April, stating Dwayne appeared stable. When the CT scan was finally perf…
29y · Female·respiratory depression caused by morphine intoxication on a background of upper …
A 29-year-old woman with infectious mononucleosis and severe sore throat died from respiratory depression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morph…
31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…
…struggle lasted over 35 minutes in dangerous conditions (patient face-down in garden bed); and inadequate sedation protocols were applied. While autopsy showed severe coronary artery disease predisposing to fatal arrhyth…
33y · Male·Opiate toxicity
…multaneously while the patient exhibited heavy snoring progressing to soft snoring—indicating progressive sedation and airway compromise. Nursing staff recorded low saturations but failed to escalate appropriately at the…
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